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Picture of the Month

Diane E. Friedman, MEd; Richard J. Pines, DO; Matthew Shelley, MD; Pamela Fisher, MD; G. Michael Silberbach, MD; Murray Feingold, MD
Am J Dis Child. 1991;145(3):341-342. doi:10.1001/archpedi.1991.02160030111032.
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The Editors welcome contributions to Picture of the Month and Radiological Case of the Month. Those who wish to contribute should send their manuscripts to Dr Feingold (Picture of the Month), National Birth Defects Center, Kennedy Memorial Hospital, 30 Warren St, Brighton, MA 02135, or Dr Wood (Radiological Case of the Month), Department of Radiology, Childrens Hospital of Los Angeles, 4650 Sunset Blvd, Los Angeles, CA 90027. Articles and photographs accepted for publication will bearthe contributor's name. There is no charge for reproduction and printing of color illustrations.

Denouement and Discussion 

Acropustulosis of Infancy 

Manifestations  Acropustulosis of infancy is an uncommon but distinctive dermatosis often mistaken for pustular impetigo. The unusual cutaneous distribution is the principle distinguishing characteristic. Sterile, pruritic pustules appear mainly on the palms and soles and less frequently on the dorsum of the hands, feet, wrists, and ankles. Lesions evolve from pinpoint-sized erythematous papules that enlarge to


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